Appointment Request

Request An Appointment With Schaumburg Dentist, Dr. Thomas O. Brammeier

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact Dr. Brammeier, your local Schaumburg dentist, at our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Browse our Procedures page for additional information on specific information on dental procedures. 

Please do not use this form to cancel or change an existing appointment.

*Items in bold are required.
Are you a current patient?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.